| NPI | 1902525769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.024486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0134754) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-26 |